Changing prevalence of upper gastrointestinal disease in 28 893 Koreans from 1995 to 2005

Jin Il Kim, Sang Gyun Kim, Nayoung Kim, Jae Gyu Kim, Sung Jae Shin, Sang Woo Kim, Hyun Soo Kim, Jae Kyu Sung, Chang Heon Yang, Ki Nam Shim, Seun Ja Park, Joon Yong Park, Gwang Ho Baik, Sang Woo Lee, Jong Jae Park, Soo Jin Hong, Gin Hyug Lee, Geom Seog Seo, Sang In Lee, Hyun Chae Jung

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38 Citations (Scopus)

Abstract

OBJECTIVES: Changes in the pattern of gastrointestinal diseases in a population tend to be influenced by changes in diet and lifestyle. Shifts in gastrointestinal disease from 1995 to 2005 in Korea were evaluated, retrospectively. METHODS: Seventeen nationwide medical centers participated in this study. The cross-sectional review of endoscopic findings in 28 893 patients included 8441 patients from 1995, 10 350 patients from 2000, and 10 102 patients from 2005. RESULTS: The prevalence of reflux esophagitis increased from 1.8% in 1995 to 5.9% in 2000 and 9.1% in 2005 (P<0.001, the P value was only for the comparison between 1995 and 2005, the followings were as same). The prevalence of peptic ulcer diseases was 18.0% in 1995, 19.1% in 2000, and 20.2% in 2005 (P<0.001). Although no significant differences were noted in duodenal ulcers (8.4, 8.7, and 8.2%, P=0.449), gastric ulcers showed an increasing trend (9.6, 10.5, and 12.0%, P<0.001). The prevalence of gastric cancer increased from 3.4% in 1995 to 4.5% in 2000 (P<0.001), but then decreased to 2.4% in 2005 (P<0.001). The incidence of advanced gastric cancer was 2.5, 3.2, and 1.3%, respectively (P<0.001), and that of early gastric cancer remained constant with rates of 0.8%, 1.3, and 1.1%, respectively (P=0.056). CONCLUSION: The cross-sectional review of data collected in 1995, 2000, and 2005 showed an increase in reflux esophagitis and peptic ulcer diseases. Meanwhile, the prevalence of gastric cancer increased until 2000, but decreased in 2005.

Original languageEnglish
Pages (from-to)787-793
Number of pages7
JournalEuropean Journal of Gastroenterology and Hepatology
Volume21
Issue number7
DOIs
Publication statusPublished - 2009 Jul

Keywords

  • Gastric cancer
  • Helicobacter pylori
  • Peptic ulcer
  • Reflux esophagitis

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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    Kim, J. I., Kim, S. G., Kim, N., Kim, J. G., Shin, S. J., Kim, S. W., Kim, H. S., Sung, J. K., Yang, C. H., Shim, K. N., Park, S. J., Park, J. Y., Baik, G. H., Lee, S. W., Park, J. J., Hong, S. J., Lee, G. H., Seo, G. S., Lee, S. I., & Jung, H. C. (2009). Changing prevalence of upper gastrointestinal disease in 28 893 Koreans from 1995 to 2005. European Journal of Gastroenterology and Hepatology, 21(7), 787-793. https://doi.org/10.1097/MEG.0b013e32830e285a